<?xml version="1.0"?>
<xs:schema xmlns="http://schemas.microsoft.com/BizTalk/EDI/X12/2006" xmlns:d="urn:schemas-microsoft-com:datatypes" xmlns:b="http://schemas.microsoft.com/BizTalk/2003" xmlns:wpc="http://schemas.wpc-edi.com/X12/ISOMORPH/HIPAA/4010A1" xmlns:btsedi="http://schemas.microsoft.com/BizTalk/2005/EdiSchemaEditorExtension" xmlns:schemaEditorExtension="http://schemas.microsoft.com/BizTalk/2003/SchemaEditorExtensions" targetNamespace="http://schemas.microsoft.com/BizTalk/EDI/X12/2006" version="1.0" xmlns:xs="http://www.w3.org/2001/XMLSchema">
  <xs:annotation>
    <xs:documentation xml:lang="en">  HIPAA Schema TS271A1 - Washington Publishing Company (http://www.wpc-edi.com)</xs:documentation>
    <xs:appinfo>
      <schemaEditorExtension:schemaInfo namespaceAlias="btsedi" extensionClass="Microsoft.BizTalk.Edi.SchemaEditorExtension.EdiSchemaExtension" standardName="EDI" xmlns:schemaEditorExtension="http://schemas.microsoft.com/BizTalk/2003/SchemaEditorExtensions" />
      <b:schemaInfo BiztalkServerEditorTool_Version="1.5" root_reference="X12_00401_271" displayroot_reference="X12_00401_271" version="3.0" standard="EDI" standards_version="00401" xmlns:b="http://schemas.microsoft.com/BizTalk/2003" X12ConditionDesignator_Check="No" />
    </xs:appinfo>
  </xs:annotation>
  <xs:annotation>
    <xs:documentation xml:lang="en">copyright © Microsoft Corporation. All rights reserved.</xs:documentation>
  </xs:annotation>
  <xs:element name="X12_00401_271">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="postfix" count_ignore="yes" notes="Eligibility, Coverage or Benefit Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="ST">
          <xs:annotation>
            <xs:appinfo>
              <b:recordInfo notes="Transaction Set Header" />
            </xs:appinfo>
          </xs:annotation>
          <xs:complexType>
            <xs:sequence>
              <xs:element name="ST01">
                <xs:annotation>
                  <xs:appinfo>
                    <b:fieldInfo notes="Transaction Set Identifier Code_143" />
                  </xs:appinfo>
                </xs:annotation>
                <xs:simpleType>
                  <xs:restriction base="X12_AN">
                    <xs:minLength value="3" />
                    <xs:maxLength value="3" />
                  </xs:restriction>
                </xs:simpleType>
              </xs:element>
              <xs:element name="ST02">
                <xs:annotation>
                  <xs:appinfo>
                    <b:fieldInfo notes="Transaction Set Control Number_329" />
                  </xs:appinfo>
                </xs:annotation>
                <xs:simpleType>
                  <xs:restriction base="X12_AN">
                    <xs:minLength value="4" />
                    <xs:maxLength value="9" />
                  </xs:restriction>
                </xs:simpleType>
              </xs:element>
              <xs:element minOccurs="0" name="ST03">
                <xs:annotation>
                  <xs:appinfo>
                    <b:fieldInfo notes="Implementation Convention Preference_1705" />
                  </xs:appinfo>
                </xs:annotation>
                <xs:simpleType>
                  <xs:restriction base="X12_AN">
                    <xs:minLength value="1" />
                    <xs:maxLength value="9" />
                  </xs:restriction>
                </xs:simpleType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
        <xs:element minOccurs="1" maxOccurs="1" ref="BHT_BeginningOfHierarchicalTransaction_TS271A1" />
        <xs:element minOccurs="1" maxOccurs="unbounded" ref="TS271A1_2000A_Loop" />
        <xs:element minOccurs="0" name="SE">
          <xs:annotation>
            <xs:appinfo>
              <b:recordInfo notes="Transaction Set Trailer" />
            </xs:appinfo>
          </xs:annotation>
          <xs:complexType>
            <xs:sequence>
              <xs:element name="SE01">
                <xs:annotation>
                  <xs:appinfo>
                    <b:fieldInfo notes="Number of Included Segments_96" />
                  </xs:appinfo>
                </xs:annotation>
                <xs:simpleType>
                  <xs:restriction base="X12_AN">
                    <xs:minLength value="1" />
                    <xs:maxLength value="10" />
                  </xs:restriction>
                </xs:simpleType>
              </xs:element>
              <xs:element name="SE02">
                <xs:annotation>
                  <xs:appinfo>
                    <b:fieldInfo notes="Transaction Set Control Number_329" />
                  </xs:appinfo>
                </xs:annotation>
                <xs:simpleType>
                  <xs:restriction base="X12_AN">
                    <xs:minLength value="4" />
                    <xs:maxLength value="9" />
                  </xs:restriction>
                </xs:simpleType>
              </xs:element>
            </xs:sequence>
          </xs:complexType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="BHT_BeginningOfHierarchicalTransaction_TS271A1">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="BHT_BeginningOfHierarchicalTransaction_TS271A1" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Beginning of Hierarchical Transaction" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="BHT01__HierarchicalStructureCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1005" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0022" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="BHT02__TransactionSetPurposeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="353" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="11" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="BHT03__SubmitterTransactionIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="BHT04__TransactionSetCreationDate">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="DT" format="YYYYMMDD" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_DT">
              <xs:minLength value="8" />
              <xs:maxLength value="8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="BHT05__TransactionSetCreationTime">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="TM" format="HHMMSSDD" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_TM">
              <xs:minLength value="4" />
              <xs:maxLength value="8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="BHT06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" xmlns:wpc="http://schemas.wpc-edi.com/X12/ISOMORPH/HIPAA/4010A1" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2000A_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="HL_InformationSourceLevel_TS271A1_2000A/HL03__HierarchicalLevelCode" trigger_value="20" notes="Information Source Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="HL_InformationSourceLevel_TS271A1_2000A" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_RequestValidation_TS271A1_2000A" />
        <xs:element minOccurs="1" maxOccurs="1" ref="TS271A1_2100A_Loop" />
        <xs:element minOccurs="0" maxOccurs="unbounded" ref="TS271A1_2000B_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HL_InformationSourceLevel_TS271A1_2000A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HL_InformationSourceLevel_TS271A1_2000A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Source Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="HL01__HierarchicalIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HL02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL03__HierarchicalLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="735" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL04__HierarchicalChildCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="736" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0" />
              <xs:enumeration value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_RequestValidation_TS271A1_2000A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_RequestValidation_TS271A1_2000A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="04" />
              <xs:enumeration value="41" />
              <xs:enumeration value="42" />
              <xs:enumeration value="79" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="P" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2100A_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_InformationSourceName_TS271A1_2100A/NM101__EntityIdentifierCode" trigger_value="2B 36 GP P5 PR" notes="Information Source Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_InformationSourceName_TS271A1_2100A" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_InformationSourceAdditionalIdentification_TS271A1_2100A" />
        <xs:element minOccurs="0" maxOccurs="3" ref="PER_InformationSourceContactInformation_TS271A1_2100A" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_RequestValidation_TS271A1_2100A" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_InformationSourceName_TS271A1_2100A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_InformationSourceName_TS271A1_2100A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Source Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__InformationSourcePrimaryIdentifier" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="2B" />
              <xs:enumeration value="36" />
              <xs:enumeration value="GP" />
              <xs:enumeration value="P5" />
              <xs:enumeration value="PR" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__InformationSourceLastOrOrganizationName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__InformationSourceFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__InformationSourceMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__InformationSourceNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="24" />
              <xs:enumeration value="46" />
              <xs:enumeration value="FI" />
              <xs:enumeration value="NI" />
              <xs:enumeration value="PI" />
              <xs:enumeration value="XV" />
              <xs:enumeration value="XX" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM109__InformationSourcePrimaryIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_InformationSourceAdditionalIdentification_TS271A1_2100A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_InformationSourceAdditionalIdentification_TS271A1_2100A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Source Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__InformationSourceAdditionalPlanIdentifier" />
            <b:Subject name="REF03__PlanName" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
              <xs:enumeration value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__InformationSourceAdditionalPlanIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__PlanName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U27">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PER_InformationSourceContactInformation_TS271A1_2100A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PER_InformationSourceContactInformation_TS271A1_2100A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Source Contact Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER03__CommunicationNumberQualifier" />
            <b:Subject name="PER04__InformationSourceCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER05__CommunicationNumberQualifier" />
            <b:Subject name="PER06__InformationSourceCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER07__CommunicationNumberQualifier" />
            <b:Subject name="PER08__InformationSourceCommunicationNumber" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PER01__ContactFunctionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="366" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER02__InformationSourceContactName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="60" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER03__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER04__InformationSourceCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER05__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER06__InformationSourceCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER07__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER08__InformationSourceCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_RequestValidation_TS271A1_2100A">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_RequestValidation_TS271A1_2100A" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="04" />
              <xs:enumeration value="41" />
              <xs:enumeration value="42" />
              <xs:enumeration value="79" />
              <xs:enumeration value="80" />
              <xs:enumeration value="T4" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="P" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2000B_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="HL_InformationReceiverLevel_TS271A1_2000B/HL03__HierarchicalLevelCode" trigger_value="21" notes="Information Receiver Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="HL_InformationReceiverLevel_TS271A1_2000B" />
        <xs:element minOccurs="1" maxOccurs="1" ref="TS271A1_2100B_Loop" />
        <xs:element minOccurs="0" maxOccurs="unbounded" ref="TS271A1_2000C_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HL_InformationReceiverLevel_TS271A1_2000B">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HL_InformationReceiverLevel_TS271A1_2000B" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Receiver Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="HL01__HierarchicalIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL02__HierarchicalParentIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL03__HierarchicalLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="735" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="21" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL04__HierarchicalChildCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="736" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0" />
              <xs:enumeration value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2100B_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_InformationReceiverName_TS271A1_2100B/NM101__EntityIdentifierCode" trigger_value="1P 2B 36 80 FA GP P5 PR" notes="Information Receiver Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_InformationReceiverName_TS271A1_2100B" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_InformationReceiverAdditionalIdentification_TS271A1_2100B" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_InformationReceiverRequestValidation_TS271A1_2100B" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_InformationReceiverName_TS271A1_2100B">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_InformationReceiverName_TS271A1_2100B" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Receiver Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__InformationReceiverIdentificationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1P" />
              <xs:enumeration value="2B" />
              <xs:enumeration value="36" />
              <xs:enumeration value="80" />
              <xs:enumeration value="FA" />
              <xs:enumeration value="GP" />
              <xs:enumeration value="P5" />
              <xs:enumeration value="PR" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__InformationReceiverLastOrOrganizationName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__InformationReceiverFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__InformationReceiverMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__InformationReceiverNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="24" />
              <xs:enumeration value="34" />
              <xs:enumeration value="FI" />
              <xs:enumeration value="PI" />
              <xs:enumeration value="PP" />
              <xs:enumeration value="SV" />
              <xs:enumeration value="XV" />
              <xs:enumeration value="XX" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM109__InformationReceiverIdentificationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_InformationReceiverAdditionalIdentification_TS271A1_2100B">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_InformationReceiverAdditionalIdentification_TS271A1_2100B" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Receiver Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__InformationReceiverAdditionalIdentifier" />
            <b:Subject name="REF03__LicenseNumberStateCode" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0B" />
              <xs:enumeration value="1C" />
              <xs:enumeration value="1D" />
              <xs:enumeration value="1J" />
              <xs:enumeration value="4A" />
              <xs:enumeration value="CT" />
              <xs:enumeration value="EL" />
              <xs:enumeration value="EO" />
              <xs:enumeration value="HPI" />
              <xs:enumeration value="JD" />
              <xs:enumeration value="N5" />
              <xs:enumeration value="N7" />
              <xs:enumeration value="Q4" />
              <xs:enumeration value="SY" />
              <xs:enumeration value="TJ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__InformationReceiverAdditionalIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__LicenseNumberStateCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U28">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_InformationReceiverRequestValidation_TS271A1_2100B">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_InformationReceiverRequestValidation_TS271A1_2100B" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Information Receiver Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="15" />
              <xs:enumeration value="41" />
              <xs:enumeration value="43" />
              <xs:enumeration value="44" />
              <xs:enumeration value="45" />
              <xs:enumeration value="46" />
              <xs:enumeration value="47" />
              <xs:enumeration value="48" />
              <xs:enumeration value="50" />
              <xs:enumeration value="51" />
              <xs:enumeration value="79" />
              <xs:enumeration value="97" />
              <xs:enumeration value="T4" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2000C_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="HL_SubscriberLevel_TS271A1_2000C/HL03__HierarchicalLevelCode" trigger_value="22" notes="Subscriber Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="HL_SubscriberLevel_TS271A1_2000C" />
        <xs:element minOccurs="0" maxOccurs="3" ref="TRN_SubscriberTraceNumber_TS271A1_2000C" />
        <xs:element minOccurs="1" maxOccurs="1" ref="TS271A1_2100C_Loop" />
        <xs:element minOccurs="0" maxOccurs="unbounded" ref="TS271A1_2000D_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HL_SubscriberLevel_TS271A1_2000C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HL_SubscriberLevel_TS271A1_2000C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="HL01__HierarchicalIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL02__HierarchicalParentIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL03__HierarchicalLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="735" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="22" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL04__HierarchicalChildCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="736" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0" />
              <xs:enumeration value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TRN_SubscriberTraceNumber_TS271A1_2000C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo trigger_field="TRN01__TraceTypeCode" trigger_value="1 2" tag_name="TRN_SubscriberTraceNumber_TS271A1_2000C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Trace Number" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="TRN01__TraceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="481" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="TRN02__TraceNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="TRN03__TraceAssigningEntityIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="10" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="TRN04__TraceAssigningEntityAdditionalIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2100C_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_SubscriberName_TS271A1_2100C/NM101__EntityIdentifierCode" trigger_value="IL" notes="Subscriber Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_SubscriberName_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_SubscriberAdditionalIdentification_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N3_SubscriberAddress_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N4_SubscriberCityStateZIPCode_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="3" ref="PER_SubscriberContactInformation_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_SubscriberRequestValidation_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="DMG_SubscriberDemographicInformation_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="INS_SubscriberRelationship_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="DTP_SubscriberDate_TS271A1_2100C" />
        <xs:element minOccurs="0" maxOccurs="unbounded" ref="TS271A1_2110C_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_SubscriberName_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_SubscriberName_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__SubscriberPrimaryIdentifier" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IL" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__SubscriberLastName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__SubscriberFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__SubscriberMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106__SubscriberNamePrefix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__SubscriberNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="MI" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM109__SubscriberPrimaryIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_SubscriberAdditionalIdentification_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_SubscriberAdditionalIdentification_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__SubscriberSupplementalIdentifier" />
            <b:Subject name="REF03__PlanSponsorName" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
              <xs:enumeration value="1L" />
              <xs:enumeration value="1W" />
              <xs:enumeration value="3H" />
              <xs:enumeration value="49" />
              <xs:enumeration value="6P" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="CT" />
              <xs:enumeration value="EA" />
              <xs:enumeration value="EJ" />
              <xs:enumeration value="F6" />
              <xs:enumeration value="GH" />
              <xs:enumeration value="HJ" />
              <xs:enumeration value="IF" />
              <xs:enumeration value="IG" />
              <xs:enumeration value="ML" />
              <xs:enumeration value="N6" />
              <xs:enumeration value="NQ" />
              <xs:enumeration value="Q4" />
              <xs:enumeration value="SY" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__SubscriberSupplementalIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__PlanSponsorName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U29">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N3_SubscriberAddress_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N3_SubscriberAddress_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Address" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="N301__SubscriberAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N302__SubscriberAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N4_SubscriberCityStateZIPCode_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N4_SubscriberCityStateZIPCode_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber City/State/ZIP Code">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="N406__LocationIdentificationCode">
            <b:Subject name="N405__LocationQualifier" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="N401__SubscriberCityName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N402__SubscriberStateCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N403__SubscriberPostalZoneOrZIPCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="15" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N404__CountryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N405__LocationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="309" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="CY" />
              <xs:enumeration value="FI" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N406__LocationIdentificationCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PER_SubscriberContactInformation_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PER_SubscriberContactInformation_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Contact Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER03__CommunicationNumberQualifier" />
            <b:Subject name="PER04__SubscriberContactNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER05__CommunicationNumberQualifier" />
            <b:Subject name="PER06__SubscriberContactNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER07__CommunicationNumberQualifier" />
            <b:Subject name="PER08__SubscriberContactNumber" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PER01__ContactFunctionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="366" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER02__SubscriberContactName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="60" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER03__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER04__SubscriberContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER05__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="EX" />
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER06__SubscriberContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER07__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="EX" />
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER08__SubscriberContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_SubscriberRequestValidation_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_SubscriberRequestValidation_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="15" />
              <xs:enumeration value="42" />
              <xs:enumeration value="43" />
              <xs:enumeration value="45" />
              <xs:enumeration value="47" />
              <xs:enumeration value="48" />
              <xs:enumeration value="49" />
              <xs:enumeration value="51" />
              <xs:enumeration value="52" />
              <xs:enumeration value="56" />
              <xs:enumeration value="57" />
              <xs:enumeration value="58" />
              <xs:enumeration value="60" />
              <xs:enumeration value="61" />
              <xs:enumeration value="62" />
              <xs:enumeration value="63" />
              <xs:enumeration value="64" />
              <xs:enumeration value="65" />
              <xs:enumeration value="66" />
              <xs:enumeration value="67" />
              <xs:enumeration value="68" />
              <xs:enumeration value="71" />
              <xs:enumeration value="72" />
              <xs:enumeration value="73" />
              <xs:enumeration value="74" />
              <xs:enumeration value="75" />
              <xs:enumeration value="76" />
              <xs:enumeration value="77" />
              <xs:enumeration value="78" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DMG_SubscriberDemographicInformation_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DMG_SubscriberDemographicInformation_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Demographic Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="DMG01__DateTimePeriodFormatQualifier" />
            <b:Subject name="DMG02__SubscriberBirthDate" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="DMG01__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG02__SubscriberBirthDate">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG03__SubscriberGenderCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1068" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="F" />
              <xs:enumeration value="M" />
              <xs:enumeration value="U" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="INS_SubscriberRelationship_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="INS_SubscriberRelationship_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Relationship">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="INS11" />
            <b:Subject name="INS12" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="INS01__InsuredIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="INS02__IndividualRelationshipCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1069" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS03__MaintenanceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="875" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="001" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS04__MaintenanceReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1203" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS09__StudentStatusCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1220" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="F" />
              <xs:enumeration value="N" />
              <xs:enumeration value="P" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS10__HandicapIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="10">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS11">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS12">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="12">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS13">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="13">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS14">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="14">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS15">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="15">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS16">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="16">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS17__BirthSequenceNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="9" edi_datatype="N0" justification="right" sequence_number="17">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DTP_SubscriberDate_TS271A1_2100C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DTP_SubscriberDate_TS271A1_2100C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Date" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="DTP01__DateTimeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="374" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="102" />
              <xs:enumeration value="152" />
              <xs:enumeration value="291" />
              <xs:enumeration value="307" />
              <xs:enumeration value="318" />
              <xs:enumeration value="340" />
              <xs:enumeration value="341" />
              <xs:enumeration value="342" />
              <xs:enumeration value="343" />
              <xs:enumeration value="346" />
              <xs:enumeration value="347" />
              <xs:enumeration value="356" />
              <xs:enumeration value="357" />
              <xs:enumeration value="382" />
              <xs:enumeration value="435" />
              <xs:enumeration value="442" />
              <xs:enumeration value="458" />
              <xs:enumeration value="472" />
              <xs:enumeration value="539" />
              <xs:enumeration value="540" />
              <xs:enumeration value="636" />
              <xs:enumeration value="771" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP02__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
              <xs:enumeration value="RD8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP03__DateTimePeriod">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2110C_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="EB_SubscriberEligibilityOrBenefitInformation_TS271A1_2110C/EB01__EligibilityOrBenefitInformation" trigger_value="1 2 3 4 5 6 7 8 A B C D E F G H I J K L M N O P Q R S T U V W X Y MC CB" notes="Subscriber Eligibility or Benefit Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="EB_SubscriberEligibilityOrBenefitInformation_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="HSD_HealthCareServicesDelivery_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_SubscriberAdditionalIdentification_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="20" ref="DTP_SubscriberEligibilityBenefitDate_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_SubscriberRequestValidation_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="10" ref="MSG_MessageText_TS271A1_2110C" />
        <xs:element minOccurs="0" maxOccurs="10" ref="TS271A1_2115C_Loop" />
        <xs:element minOccurs="0" name="LSLoop">
          <xs:complexType>
            <xs:sequence>
              <xs:element minOccurs="1" maxOccurs="1" ref="LS_Header_TS271A1_2110C" />
              <xs:element minOccurs="0" maxOccurs="1" ref="TS271A1_2120C_Loop" />
              <xs:element minOccurs="1" maxOccurs="1" ref="LE_Trailer_TS271A1_2110C" />
            </xs:sequence>
          </xs:complexType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="EB_SubscriberEligibilityOrBenefitInformation_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="EB_SubscriberEligibilityOrBenefitInformation_TS271A1_2110C" structure="delimited" child_delimiter="default" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" notes="Subscriber Eligibility or Benefit Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="EB09__QuantityQualifier" />
            <b:Subject name="EB10__BenefitQuantity" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="EB01__EligibilityOrBenefitInformation">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1390" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
              <xs:enumeration value="5" />
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="8" />
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="H" />
              <xs:enumeration value="I" />
              <xs:enumeration value="J" />
              <xs:enumeration value="K" />
              <xs:enumeration value="L" />
              <xs:enumeration value="M" />
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              <xs:enumeration value="O" />
              <xs:enumeration value="P" />
              <xs:enumeration value="Q" />
              <xs:enumeration value="R" />
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              <xs:enumeration value="T" />
              <xs:enumeration value="U" />
              <xs:enumeration value="V" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
              <xs:enumeration value="MC" />
              <xs:enumeration value="CB" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB02__BenefitCoverageLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1207" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="CHD" />
              <xs:enumeration value="DEP" />
              <xs:enumeration value="ECH" />
              <xs:enumeration value="EMP" />
              <xs:enumeration value="ESP" />
              <xs:enumeration value="FAM" />
              <xs:enumeration value="IND" />
              <xs:enumeration value="SPC" />
              <xs:enumeration value="SPO" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB03__ServiceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
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              <xs:enumeration value="8" />
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              <xs:enumeration value="10" />
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              <xs:enumeration value="12" />
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              <xs:enumeration value="14" />
              <xs:enumeration value="15" />
              <xs:enumeration value="16" />
              <xs:enumeration value="17" />
              <xs:enumeration value="18" />
              <xs:enumeration value="19" />
              <xs:enumeration value="20" />
              <xs:enumeration value="21" />
              <xs:enumeration value="22" />
              <xs:enumeration value="23" />
              <xs:enumeration value="24" />
              <xs:enumeration value="25" />
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              <xs:enumeration value="45" />
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              <xs:enumeration value="60" />
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              <xs:enumeration value="70" />
              <xs:enumeration value="71" />
              <xs:enumeration value="72" />
              <xs:enumeration value="73" />
              <xs:enumeration value="74" />
              <xs:enumeration value="75" />
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              <xs:enumeration value="78" />
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              <xs:enumeration value="80" />
              <xs:enumeration value="81" />
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              <xs:enumeration value="83" />
              <xs:enumeration value="84" />
              <xs:enumeration value="85" />
              <xs:enumeration value="86" />
              <xs:enumeration value="87" />
              <xs:enumeration value="88" />
              <xs:enumeration value="89" />
              <xs:enumeration value="90" />
              <xs:enumeration value="91" />
              <xs:enumeration value="92" />
              <xs:enumeration value="93" />
              <xs:enumeration value="94" />
              <xs:enumeration value="95" />
              <xs:enumeration value="96" />
              <xs:enumeration value="97" />
              <xs:enumeration value="98" />
              <xs:enumeration value="99" />
              <xs:enumeration value="A0" />
              <xs:enumeration value="A1" />
              <xs:enumeration value="A2" />
              <xs:enumeration value="A3" />
              <xs:enumeration value="A4" />
              <xs:enumeration value="A5" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="A7" />
              <xs:enumeration value="A8" />
              <xs:enumeration value="A9" />
              <xs:enumeration value="AA" />
              <xs:enumeration value="AB" />
              <xs:enumeration value="AC" />
              <xs:enumeration value="AD" />
              <xs:enumeration value="AE" />
              <xs:enumeration value="AF" />
              <xs:enumeration value="AG" />
              <xs:enumeration value="AH" />
              <xs:enumeration value="AI" />
              <xs:enumeration value="AJ" />
              <xs:enumeration value="AK" />
              <xs:enumeration value="AL" />
              <xs:enumeration value="AM" />
              <xs:enumeration value="AN" />
              <xs:enumeration value="AO" />
              <xs:enumeration value="AQ" />
              <xs:enumeration value="AR" />
              <xs:enumeration value="BA" />
              <xs:enumeration value="BB" />
              <xs:enumeration value="BC" />
              <xs:enumeration value="BD" />
              <xs:enumeration value="BE" />
              <xs:enumeration value="BF" />
              <xs:enumeration value="BG" />
              <xs:enumeration value="BH" />
              <xs:enumeration value="BI" />
              <xs:enumeration value="BJ" />
              <xs:enumeration value="BK" />
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              <xs:enumeration value="BP" />
              <xs:enumeration value="BQ" />
              <xs:enumeration value="BR" />
              <xs:enumeration value="BS" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB04__InsuranceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1336" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="12" />
              <xs:enumeration value="13" />
              <xs:enumeration value="14" />
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              <xs:enumeration value="PR" />
              <xs:enumeration value="PS" />
              <xs:enumeration value="QM" />
              <xs:enumeration value="RP" />
              <xs:enumeration value="SP" />
              <xs:enumeration value="TF" />
              <xs:enumeration value="WC" />
              <xs:enumeration value="WU" />
              <xs:enumeration value="DB" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB05__PlanCoverageDescription">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="50" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB06__TimePeriodQualifier">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="615" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
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              <xs:enumeration value="25" />
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              <xs:enumeration value="29" />
              <xs:enumeration value="30" />
              <xs:enumeration value="31" />
              <xs:enumeration value="32" />
              <xs:enumeration value="33" />
              <xs:enumeration value="34" />
              <xs:enumeration value="35" />
              <xs:enumeration value="36" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB07__BenefitAmount">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="18" edi_datatype="R" justification="right" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB08__BenefitPercent">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="10" edi_datatype="R" justification="right" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
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          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB09__QuantityQualifier">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="673" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="99" />
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              <xs:enumeration value="CE" />
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              <xs:enumeration value="S8" />
              <xs:enumeration value="VS" />
              <xs:enumeration value="YY" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB10__BenefitQuantity">
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              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB11__AuthorizationOrCertificationIndicator">
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              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="11">
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            </xs:appinfo>
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              <xs:enumeration value="N" />
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              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB12__InPlanNetworkIndicator">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="12">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
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              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" maxOccurs="1" ref="EB13_C003U30_TS271A1_2110C" />
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    </xs:complexType>
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  <xs:element name="EB13_C003U30_TS271A1_2110C">
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      <xs:appinfo>
        <b:recordInfo structure="delimited" child_delimiter="default" delimiter_type="inherit_subfield" field_order="infix" count_ignore="yes" sequence_number="13" notes="Composite Medical Procedure Identifier" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="EB13_C00301U31_ProductOrServiceIDQualifier">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="235" sequence_number="1">
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            </xs:appinfo>
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            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="EB13_C00302U32_ProcedureCode">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="2">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
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            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00303U33_ProcedureModifier">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="3">
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            </xs:appinfo>
          </xs:annotation>
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            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00304U34_ProcedureModifier">
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            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="4">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
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              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00305U35_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="5">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00306U36_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="6">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00307U5037">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="7">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HSD_HealthCareServicesDelivery_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HSD_HealthCareServicesDelivery_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Health Care Services Delivery">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="HSD01__QuantityQualifier" />
            <b:Subject name="HSD02__BenefitQuantity" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="HSD06__PeriodCount">
            <b:Subject name="HSD05__TimePeriodQualifier" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="HSD01__QuantityQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="673" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="DY" />
              <xs:enumeration value="FL" />
              <xs:enumeration value="HS" />
              <xs:enumeration value="MN" />
              <xs:enumeration value="VS" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD02__BenefitQuantity">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD03__UnitOrBasisForMeasurementCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="355" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="DA" />
              <xs:enumeration value="MO" />
              <xs:enumeration value="VS" />
              <xs:enumeration value="WK" />
              <xs:enumeration value="YR" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD04__SampleSelectionModulus">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="6" edi_datatype="R" justification="right" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD05__TimePeriodQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="615" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="21" />
              <xs:enumeration value="22" />
              <xs:enumeration value="23" />
              <xs:enumeration value="24" />
              <xs:enumeration value="25" />
              <xs:enumeration value="26" />
              <xs:enumeration value="27" />
              <xs:enumeration value="28" />
              <xs:enumeration value="29" />
              <xs:enumeration value="30" />
              <xs:enumeration value="31" />
              <xs:enumeration value="32" />
              <xs:enumeration value="33" />
              <xs:enumeration value="34" />
              <xs:enumeration value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD06__PeriodCount">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="3" edi_datatype="N0" justification="right" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD07__DeliveryFrequencyCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="678" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
              <xs:enumeration value="5" />
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="8" />
              <xs:enumeration value="9" />
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="H" />
              <xs:enumeration value="J" />
              <xs:enumeration value="K" />
              <xs:enumeration value="L" />
              <xs:enumeration value="M" />
              <xs:enumeration value="N" />
              <xs:enumeration value="O" />
              <xs:enumeration value="P" />
              <xs:enumeration value="Q" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="T" />
              <xs:enumeration value="U" />
              <xs:enumeration value="V" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
              <xs:enumeration value="SG" />
              <xs:enumeration value="SL" />
              <xs:enumeration value="SP" />
              <xs:enumeration value="SX" />
              <xs:enumeration value="SY" />
              <xs:enumeration value="SZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD08__DeliveryPatternTimeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="679" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_SubscriberAdditionalIdentification_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_SubscriberAdditionalIdentification_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__SubscriberEligibilityOrBenefitIdentifier" />
            <b:Subject name="REF03__PlanSponsorName" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
              <xs:enumeration value="1L" />
              <xs:enumeration value="1W" />
              <xs:enumeration value="49" />
              <xs:enumeration value="6P" />
              <xs:enumeration value="9F" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="F6" />
              <xs:enumeration value="G1" />
              <xs:enumeration value="IG" />
              <xs:enumeration value="N6" />
              <xs:enumeration value="NQ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__SubscriberEligibilityOrBenefitIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__PlanSponsorName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U38">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DTP_SubscriberEligibilityBenefitDate_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DTP_SubscriberEligibilityBenefitDate_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Eligibility/Benefit Date" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="DTP01__DateTimeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="374" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="193" />
              <xs:enumeration value="194" />
              <xs:enumeration value="198" />
              <xs:enumeration value="290" />
              <xs:enumeration value="292" />
              <xs:enumeration value="295" />
              <xs:enumeration value="304" />
              <xs:enumeration value="307" />
              <xs:enumeration value="318" />
              <xs:enumeration value="348" />
              <xs:enumeration value="349" />
              <xs:enumeration value="356" />
              <xs:enumeration value="357" />
              <xs:enumeration value="435" />
              <xs:enumeration value="472" />
              <xs:enumeration value="636" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP02__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
              <xs:enumeration value="RD8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP03__EligibilityOrBenefitDateTimePeriod">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_SubscriberRequestValidation_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_SubscriberRequestValidation_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="15" />
              <xs:enumeration value="52" />
              <xs:enumeration value="53" />
              <xs:enumeration value="54" />
              <xs:enumeration value="55" />
              <xs:enumeration value="56" />
              <xs:enumeration value="57" />
              <xs:enumeration value="60" />
              <xs:enumeration value="61" />
              <xs:enumeration value="62" />
              <xs:enumeration value="63" />
              <xs:enumeration value="69" />
              <xs:enumeration value="70" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="R" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="MSG_MessageText_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="MSG_MessageText_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Message Text">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="MSG03">
            <b:Subject name="MSG02" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="MSG01__FreeFormMessageText">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="264" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="MSG02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="MSG03">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="9" edi_datatype="N0" justification="right" sequence_number="03">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2115C_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="III_SubscriberEligibilityOrBenefitAdditionalInformation_TS271A1_2115C/III01__CodeListQualifierCode" trigger_value="BF BK ZZ" notes="Subscriber Eligibility or Benefit Additional Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="III_SubscriberEligibilityOrBenefitAdditionalInformation_TS271A1_2115C" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="III_SubscriberEligibilityOrBenefitAdditionalInformation_TS271A1_2115C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="III_SubscriberEligibilityOrBenefitAdditionalInformation_TS271A1_2115C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Eligibility or Benefit Additional Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="III01__CodeListQualifierCode" />
            <b:Subject name="III02__IndustryCode" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_ListConditional" qualifier="III03">
            <b:Subject name="III04" />
            <b:Subject name="III05" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="III01__CodeListQualifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1270" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="BF" />
              <xs:enumeration value="BK" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="III02__IndustryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III03">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="03">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="264" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III06_C001U39">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="LS_Header_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="LS_Header_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Loop Header" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="LS01__LoopIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="6" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2120C_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_SubscriberBenefitRelatedEntityName_TS271A1_2120C/NM101__EntityIdentifierCode" trigger_value="13 1P 2B 36 73 FA GP IL LR P3 P4 P5 PR SEP TTP VN X3 PRP" notes="Subscriber Benefit Related Entity Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_SubscriberBenefitRelatedEntityName_TS271A1_2120C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N3_SubscriberBenefitRelatedEntityAddress_TS271A1_2120C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N4_SubscriberBenefitRelatedCityStateZIPCode_TS271A1_2120C" />
        <xs:element minOccurs="0" maxOccurs="3" ref="PER_SubscriberBenefitRelatedEntityContactInformation_TS271A1_2120C" />
        <xs:element minOccurs="0" maxOccurs="1" ref="PRV_SubscriberBenefitRelatedProviderInformation_TS271A1_2120C" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_SubscriberBenefitRelatedEntityName_TS271A1_2120C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_SubscriberBenefitRelatedEntityName_TS271A1_2120C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Benefit Related Entity Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__BenefitRelatedEntityIdentifier" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="13" />
              <xs:enumeration value="1P" />
              <xs:enumeration value="2B" />
              <xs:enumeration value="36" />
              <xs:enumeration value="73" />
              <xs:enumeration value="FA" />
              <xs:enumeration value="GP" />
              <xs:enumeration value="IL" />
              <xs:enumeration value="LR" />
              <xs:enumeration value="P3" />
              <xs:enumeration value="P4" />
              <xs:enumeration value="P5" />
              <xs:enumeration value="PR" />
              <xs:enumeration value="SEP" />
              <xs:enumeration value="TTP" />
              <xs:enumeration value="VN" />
              <xs:enumeration value="X3" />
              <xs:enumeration value="PRP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__BenefitRelatedEntityLastOrOrganizationName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__BenefitRelatedEntityFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__BenefitRelatedEntityMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__BenefitRelatedEntityNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="24" />
              <xs:enumeration value="34" />
              <xs:enumeration value="46" />
              <xs:enumeration value="FA" />
              <xs:enumeration value="FI" />
              <xs:enumeration value="MI" />
              <xs:enumeration value="NI" />
              <xs:enumeration value="PI" />
              <xs:enumeration value="PP" />
              <xs:enumeration value="SV" />
              <xs:enumeration value="XV" />
              <xs:enumeration value="XX" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM109__BenefitRelatedEntityIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N3_SubscriberBenefitRelatedEntityAddress_TS271A1_2120C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N3_SubscriberBenefitRelatedEntityAddress_TS271A1_2120C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Benefit Related Entity Address" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="N301__BenefitRelatedEntityAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N302__BenefitRelatedEntityAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N4_SubscriberBenefitRelatedCityStateZIPCode_TS271A1_2120C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N4_SubscriberBenefitRelatedCityStateZIPCode_TS271A1_2120C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Benefit Related City/State/ZIP Code">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="N406__DepartmentOfDefenseHealthServiceRegionCode">
            <b:Subject name="N405__LocationQualifier" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="N401__BenefitRelatedEntityCityName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N402__BenefitRelatedEntityStateCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N403__BenefitRelatedEntityPostalZoneOrZIPCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="15" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N404__CountryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N405__LocationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="309" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="RJ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N406__DepartmentOfDefenseHealthServiceRegionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PER_SubscriberBenefitRelatedEntityContactInformation_TS271A1_2120C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PER_SubscriberBenefitRelatedEntityContactInformation_TS271A1_2120C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Benefit Related Entity Contact Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER03__CommunicationNumberQualifier" />
            <b:Subject name="PER04__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER05__CommunicationNumberQualifier" />
            <b:Subject name="PER06__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER07__CommunicationNumberQualifier" />
            <b:Subject name="PER08__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PER01__ContactFunctionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="366" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER02__BenefitRelatedEntityContactName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="60" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER03__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER04__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER05__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER06__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER07__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER08__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PRV_SubscriberBenefitRelatedProviderInformation_TS271A1_2120C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PRV_SubscriberBenefitRelatedProviderInformation_TS271A1_2120C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Subscriber Benefit Related Provider Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PRV01__ProviderCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1221" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="AD" />
              <xs:enumeration value="AT" />
              <xs:enumeration value="BI" />
              <xs:enumeration value="CO" />
              <xs:enumeration value="CV" />
              <xs:enumeration value="H" />
              <xs:enumeration value="LA" />
              <xs:enumeration value="OT" />
              <xs:enumeration value="P1" />
              <xs:enumeration value="P2" />
              <xs:enumeration value="PC" />
              <xs:enumeration value="PE" />
              <xs:enumeration value="R" />
              <xs:enumeration value="SB" />
              <xs:enumeration value="SK" />
              <xs:enumeration value="SU" />
              <xs:enumeration value="RF" />
              <xs:enumeration value="HH" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="PRV02__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="9K" />
              <xs:enumeration value="D3" />
              <xs:enumeration value="EI" />
              <xs:enumeration value="HPI" />
              <xs:enumeration value="SY" />
              <xs:enumeration value="TJ" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="PRV03__ProviderIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV05_C035U40">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="LE_Trailer_TS271A1_2110C">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="LE_Trailer_TS271A1_2110C" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Loop Trailer" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="LE01__LoopIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="6" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2000D_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="HL_DependentLevel_TS271A1_2000D/HL03__HierarchicalLevelCode" trigger_value="23" notes="Dependent Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="HL_DependentLevel_TS271A1_2000D" />
        <xs:element minOccurs="0" maxOccurs="3" ref="TRN_DependentTraceNumber_TS271A1_2000D" />
        <xs:element minOccurs="1" maxOccurs="1" ref="TS271A1_2100D_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HL_DependentLevel_TS271A1_2000D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HL_DependentLevel_TS271A1_2000D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Level" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="HL01__HierarchicalIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL02__HierarchicalParentIDNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="12" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL03__HierarchicalLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="735" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="23" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="HL04__HierarchicalChildCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="736" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="0" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TRN_DependentTraceNumber_TS271A1_2000D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo trigger_field="TRN01__TraceTypeCode" trigger_value="1 2" tag_name="TRN_DependentTraceNumber_TS271A1_2000D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Trace Number" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="TRN01__TraceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="481" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="TRN02__TraceNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="TRN03__TraceAssigningEntityIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="10" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="TRN04__TraceAssigningEntityAdditionalIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2100D_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_DependentName_TS271A1_2100D/NM101__EntityIdentifierCode" trigger_value="03" notes="Dependent Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_DependentName_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_DependentAdditionalIdentification_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N3_DependentAddress_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N4_DependentCityStateZIPCode_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="3" ref="PER_DependentContactInformation_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_DependentRequestValidation_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="DMG_DependentDemographicInformation_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="INS_DependentRelationship_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="DTP_DependentDate_TS271A1_2100D" />
        <xs:element minOccurs="0" maxOccurs="unbounded" ref="TS271A1_2110D_Loop" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_DependentName_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_DependentName_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__DependentPrimaryIdentifier" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="03" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__DependentLastName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__DependentFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__DependentMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__DependentNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="MI" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM109__DependentPrimaryIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_DependentAdditionalIdentification_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_DependentAdditionalIdentification_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__DependentSupplementalIdentifier" />
            <b:Subject name="REF03__PlanSponsorName" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
              <xs:enumeration value="1L" />
              <xs:enumeration value="1W" />
              <xs:enumeration value="49" />
              <xs:enumeration value="6P" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="CT" />
              <xs:enumeration value="EA" />
              <xs:enumeration value="EJ" />
              <xs:enumeration value="F6" />
              <xs:enumeration value="GH" />
              <xs:enumeration value="HJ" />
              <xs:enumeration value="IF" />
              <xs:enumeration value="IG" />
              <xs:enumeration value="M7" />
              <xs:enumeration value="N6" />
              <xs:enumeration value="NQ" />
              <xs:enumeration value="Q4" />
              <xs:enumeration value="SY" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__DependentSupplementalIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__PlanSponsorName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U41">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N3_DependentAddress_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N3_DependentAddress_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Address" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="N301__DependentAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N302__DependentAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N4_DependentCityStateZIPCode_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N4_DependentCityStateZIPCode_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent City/State/ZIP Code">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="N406">
            <b:Subject name="N405" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="N401__DependentCityName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N402__DependentStateCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N403__DependentPostalZoneOrZIPCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="15" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N404__CountryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N405">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N406">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PER_DependentContactInformation_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PER_DependentContactInformation_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Contact Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER03__CommunicationNumberQualifier" />
            <b:Subject name="PER04__DependentContactNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER05__CommunicationNumberQualifier" />
            <b:Subject name="PER06__DependentContactNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER07__CommunicationNumberQualifier" />
            <b:Subject name="PER08__DependentContactNumber" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PER01__ContactFunctionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="366" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER02__DependentContactName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="60" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER03__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER04__DependentContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER05__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="EX" />
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER06__DependentContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER07__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="EX" />
              <xs:enumeration value="HP" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER08__DependentContactNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_DependentRequestValidation_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_DependentRequestValidation_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="15" />
              <xs:enumeration value="42" />
              <xs:enumeration value="43" />
              <xs:enumeration value="45" />
              <xs:enumeration value="47" />
              <xs:enumeration value="48" />
              <xs:enumeration value="49" />
              <xs:enumeration value="51" />
              <xs:enumeration value="52" />
              <xs:enumeration value="56" />
              <xs:enumeration value="57" />
              <xs:enumeration value="58" />
              <xs:enumeration value="60" />
              <xs:enumeration value="61" />
              <xs:enumeration value="62" />
              <xs:enumeration value="63" />
              <xs:enumeration value="64" />
              <xs:enumeration value="65" />
              <xs:enumeration value="66" />
              <xs:enumeration value="67" />
              <xs:enumeration value="68" />
              <xs:enumeration value="71" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DMG_DependentDemographicInformation_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DMG_DependentDemographicInformation_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Demographic Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="DMG01__DateTimePeriodFormatQualifier" />
            <b:Subject name="DMG02__DependentBirthDate" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="DMG01__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG02__DependentBirthDate">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG03__DependentGenderCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1068" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="F" />
              <xs:enumeration value="M" />
              <xs:enumeration value="U" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="DMG09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="INS_DependentRelationship_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="INS_DependentRelationship_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Relationship">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="INS11" />
            <b:Subject name="INS12" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="INS01__InsuredIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="INS02__IndividualRelationshipCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1069" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="01" />
              <xs:enumeration value="19" />
              <xs:enumeration value="21" />
              <xs:enumeration value="34" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS03__MaintenanceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="875" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="001" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS04__MaintenanceReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1203" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS09__StudentStatusCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1220" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="F" />
              <xs:enumeration value="N" />
              <xs:enumeration value="P" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS10__HandicapIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="10">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS11">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS12">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="12">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS13">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="13">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS14">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="14">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS15">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="15">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS16">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="16">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="INS17__BirthSequenceNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="9" edi_datatype="N0" justification="right" sequence_number="17">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DTP_DependentDate_TS271A1_2100D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DTP_DependentDate_TS271A1_2100D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Date" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="DTP01__DateTimeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="374" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="102" />
              <xs:enumeration value="152" />
              <xs:enumeration value="291" />
              <xs:enumeration value="307" />
              <xs:enumeration value="318" />
              <xs:enumeration value="340" />
              <xs:enumeration value="341" />
              <xs:enumeration value="342" />
              <xs:enumeration value="343" />
              <xs:enumeration value="346" />
              <xs:enumeration value="347" />
              <xs:enumeration value="382" />
              <xs:enumeration value="435" />
              <xs:enumeration value="442" />
              <xs:enumeration value="458" />
              <xs:enumeration value="472" />
              <xs:enumeration value="539" />
              <xs:enumeration value="540" />
              <xs:enumeration value="636" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP02__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
              <xs:enumeration value="RD8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP03__DateTimePeriod">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2110D_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="EB_DependentEligibilityOrBenefitInformation_TS271A1_2110D/EB01__EligibilityOrBenefitInformation" trigger_value="1 2 3 4 5 6 7 8 A B C D E F G H I J K L M N O P Q R S T U V W X Y CB MC" notes="Dependent Eligibility or Benefit Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="EB_DependentEligibilityOrBenefitInformation_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="HSD_HealthCareServicesDelivery_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="REF_DependentAdditionalIdentification_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="20" ref="DTP_DependentEligibilityBenefitDate_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="9" ref="AAA_DependentRequestValidation_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="10" ref="MSG_MessageText_TS271A1_2110D" />
        <xs:element minOccurs="0" maxOccurs="10" ref="TS271A1_2115D_Loop" />
        <xs:element minOccurs="0" name="LSLoop">
          <xs:complexType>
            <xs:sequence>
              <xs:element minOccurs="1" maxOccurs="1" ref="LS_DependentEligibilityOrBenefitInformation_TS271A1_2110D" />
              <xs:element minOccurs="0" maxOccurs="1" ref="TS271A1_2120D_Loop" />
              <xs:element minOccurs="1" maxOccurs="1" ref="LE_Trailer_TS271A1_2110D" />
            </xs:sequence>
          </xs:complexType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="EB_DependentEligibilityOrBenefitInformation_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="EB_DependentEligibilityOrBenefitInformation_TS271A1_2110D" structure="delimited" child_delimiter="default" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" notes="Dependent Eligibility or Benefit Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="EB09__QuantityQualifier" />
            <b:Subject name="EB10__BenefitQuantity" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="EB01__EligibilityOrBenefitInformation">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1390" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
              <xs:enumeration value="5" />
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="8" />
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="H" />
              <xs:enumeration value="I" />
              <xs:enumeration value="J" />
              <xs:enumeration value="K" />
              <xs:enumeration value="L" />
              <xs:enumeration value="M" />
              <xs:enumeration value="N" />
              <xs:enumeration value="O" />
              <xs:enumeration value="P" />
              <xs:enumeration value="Q" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="T" />
              <xs:enumeration value="U" />
              <xs:enumeration value="V" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
              <xs:enumeration value="CB" />
              <xs:enumeration value="MC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB02__BenefitCoverageLevelCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1207" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="CHD" />
              <xs:enumeration value="DEP" />
              <xs:enumeration value="ECH" />
              <xs:enumeration value="ESP" />
              <xs:enumeration value="FAM" />
              <xs:enumeration value="IND" />
              <xs:enumeration value="SPC" />
              <xs:enumeration value="SPO" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB03__ServiceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
              <xs:enumeration value="5" />
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="8" />
              <xs:enumeration value="9" />
              <xs:enumeration value="10" />
              <xs:enumeration value="11" />
              <xs:enumeration value="12" />
              <xs:enumeration value="13" />
              <xs:enumeration value="14" />
              <xs:enumeration value="15" />
              <xs:enumeration value="16" />
              <xs:enumeration value="17" />
              <xs:enumeration value="18" />
              <xs:enumeration value="19" />
              <xs:enumeration value="20" />
              <xs:enumeration value="21" />
              <xs:enumeration value="22" />
              <xs:enumeration value="23" />
              <xs:enumeration value="24" />
              <xs:enumeration value="25" />
              <xs:enumeration value="26" />
              <xs:enumeration value="27" />
              <xs:enumeration value="28" />
              <xs:enumeration value="30" />
              <xs:enumeration value="32" />
              <xs:enumeration value="33" />
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              <xs:enumeration value="44" />
              <xs:enumeration value="45" />
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              <xs:enumeration value="60" />
              <xs:enumeration value="61" />
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              <xs:enumeration value="63" />
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              <xs:enumeration value="72" />
              <xs:enumeration value="73" />
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              <xs:enumeration value="75" />
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              <xs:enumeration value="85" />
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              <xs:enumeration value="87" />
              <xs:enumeration value="88" />
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              <xs:enumeration value="90" />
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              <xs:enumeration value="94" />
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              <xs:enumeration value="98" />
              <xs:enumeration value="99" />
              <xs:enumeration value="A0" />
              <xs:enumeration value="A1" />
              <xs:enumeration value="A2" />
              <xs:enumeration value="A3" />
              <xs:enumeration value="A4" />
              <xs:enumeration value="A5" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="A7" />
              <xs:enumeration value="A8" />
              <xs:enumeration value="A9" />
              <xs:enumeration value="AA" />
              <xs:enumeration value="AB" />
              <xs:enumeration value="AC" />
              <xs:enumeration value="AD" />
              <xs:enumeration value="AE" />
              <xs:enumeration value="AF" />
              <xs:enumeration value="AG" />
              <xs:enumeration value="AH" />
              <xs:enumeration value="AI" />
              <xs:enumeration value="AJ" />
              <xs:enumeration value="AK" />
              <xs:enumeration value="AL" />
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              <xs:enumeration value="AN" />
              <xs:enumeration value="AO" />
              <xs:enumeration value="AQ" />
              <xs:enumeration value="AR" />
              <xs:enumeration value="BA" />
              <xs:enumeration value="BB" />
              <xs:enumeration value="BC" />
              <xs:enumeration value="BD" />
              <xs:enumeration value="BE" />
              <xs:enumeration value="BF" />
              <xs:enumeration value="BG" />
              <xs:enumeration value="BH" />
              <xs:enumeration value="BI" />
              <xs:enumeration value="BJ" />
              <xs:enumeration value="BK" />
              <xs:enumeration value="BL" />
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              <xs:enumeration value="BN" />
              <xs:enumeration value="BP" />
              <xs:enumeration value="BQ" />
              <xs:enumeration value="BR" />
              <xs:enumeration value="BS" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB04__InsuranceTypeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1336" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="12" />
              <xs:enumeration value="13" />
              <xs:enumeration value="14" />
              <xs:enumeration value="15" />
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              <xs:enumeration value="43" />
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              <xs:enumeration value="AP" />
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              <xs:enumeration value="CO" />
              <xs:enumeration value="CP" />
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              <xs:enumeration value="EP" />
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              <xs:enumeration value="IP" />
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              <xs:enumeration value="LD" />
              <xs:enumeration value="LI" />
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              <xs:enumeration value="MB" />
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              <xs:enumeration value="PL" />
              <xs:enumeration value="PP" />
              <xs:enumeration value="PR" />
              <xs:enumeration value="PS" />
              <xs:enumeration value="QM" />
              <xs:enumeration value="RP" />
              <xs:enumeration value="SP" />
              <xs:enumeration value="TF" />
              <xs:enumeration value="WC" />
              <xs:enumeration value="WU" />
              <xs:enumeration value="DB" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB05__PlanCoverageDescription">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="50" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB06__TimePeriodQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="615" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
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              <xs:enumeration value="21" />
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              <xs:enumeration value="24" />
              <xs:enumeration value="25" />
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              <xs:enumeration value="28" />
              <xs:enumeration value="29" />
              <xs:enumeration value="30" />
              <xs:enumeration value="31" />
              <xs:enumeration value="32" />
              <xs:enumeration value="33" />
              <xs:enumeration value="34" />
              <xs:enumeration value="35" />
              <xs:enumeration value="36" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB07__BenefitAmount">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="18" edi_datatype="R" justification="right" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB08__BenefitPercent">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="10" edi_datatype="R" justification="right" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB09__QuantityQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="673" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="99" />
              <xs:enumeration value="CA" />
              <xs:enumeration value="CE" />
              <xs:enumeration value="DB" />
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              <xs:enumeration value="P6" />
              <xs:enumeration value="QA" />
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              <xs:enumeration value="S8" />
              <xs:enumeration value="VS" />
              <xs:enumeration value="YY" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB10__BenefitQuantity">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="10">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB11__AuthorizationOrCertificationIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="11">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="U" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB12__InPlanNetworkIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="12">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="U" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" maxOccurs="1" ref="EB13_C003U42_TS271A1_2110D" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="EB13_C003U42_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" child_delimiter="default" delimiter_type="inherit_subfield" field_order="infix" count_ignore="yes" sequence_number="13" notes="Composite Medical Procedure Identifier" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="EB13_C00301U43_ProductOrServiceIDQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="235" sequence_number="1">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="AD" />
              <xs:enumeration value="CJ" />
              <xs:enumeration value="HC" />
              <xs:enumeration value="ID" />
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              <xs:enumeration value="N4" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="EB13_C00302U44_ProcedureCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="2">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="48" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00303U45_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="3">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00304U46_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="4">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00305U47_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="5">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00306U48_ProcedureModifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="6">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="EB13_C00307U5049">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="7">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="HSD_HealthCareServicesDelivery_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="HSD_HealthCareServicesDelivery_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Health Care Services Delivery">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="HSD01__QuantityQualifier" />
            <b:Subject name="HSD02__BenefitQuantity" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="HSD06__PeriodCount">
            <b:Subject name="HSD05__TimePeriodQualifier" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="HSD01__QuantityQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="673" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="DY" />
              <xs:enumeration value="FL" />
              <xs:enumeration value="HS" />
              <xs:enumeration value="MN" />
              <xs:enumeration value="VS" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD02__BenefitQuantity">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD03__UnitOrBasisForMeasurementCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="355" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="DA" />
              <xs:enumeration value="MO" />
              <xs:enumeration value="VS" />
              <xs:enumeration value="WK" />
              <xs:enumeration value="YR" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD04__SampleSelectionModulus">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="6" edi_datatype="R" justification="right" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD05__TimePeriodQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="615" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="21" />
              <xs:enumeration value="22" />
              <xs:enumeration value="23" />
              <xs:enumeration value="24" />
              <xs:enumeration value="25" />
              <xs:enumeration value="26" />
              <xs:enumeration value="27" />
              <xs:enumeration value="28" />
              <xs:enumeration value="29" />
              <xs:enumeration value="30" />
              <xs:enumeration value="31" />
              <xs:enumeration value="32" />
              <xs:enumeration value="33" />
              <xs:enumeration value="34" />
              <xs:enumeration value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD06__PeriodCount">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="3" edi_datatype="N0" justification="right" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD07__DeliveryFrequencyCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="678" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
              <xs:enumeration value="3" />
              <xs:enumeration value="4" />
              <xs:enumeration value="5" />
              <xs:enumeration value="6" />
              <xs:enumeration value="7" />
              <xs:enumeration value="8" />
              <xs:enumeration value="9" />
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="H" />
              <xs:enumeration value="J" />
              <xs:enumeration value="K" />
              <xs:enumeration value="L" />
              <xs:enumeration value="M" />
              <xs:enumeration value="N" />
              <xs:enumeration value="O" />
              <xs:enumeration value="P" />
              <xs:enumeration value="Q" />
              <xs:enumeration value="R" />
              <xs:enumeration value="S" />
              <xs:enumeration value="T" />
              <xs:enumeration value="U" />
              <xs:enumeration value="V" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
              <xs:enumeration value="SG" />
              <xs:enumeration value="SL" />
              <xs:enumeration value="SP" />
              <xs:enumeration value="SX" />
              <xs:enumeration value="SY" />
              <xs:enumeration value="SZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="HSD08__DeliveryPatternTimeCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="679" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="A" />
              <xs:enumeration value="B" />
              <xs:enumeration value="C" />
              <xs:enumeration value="D" />
              <xs:enumeration value="E" />
              <xs:enumeration value="F" />
              <xs:enumeration value="G" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="REF_DependentAdditionalIdentification_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="REF_DependentAdditionalIdentification_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Additional Identification">
          <b:Rule subjects="X12ConditionDesignatorX_Required">
            <b:Subject name="REF02__DependentEligibilityOrBenefitIdentifier" />
            <b:Subject name="REF03__PlanSponsorName" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="REF01__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="18" />
              <xs:enumeration value="1L" />
              <xs:enumeration value="1W" />
              <xs:enumeration value="49" />
              <xs:enumeration value="6P" />
              <xs:enumeration value="9F" />
              <xs:enumeration value="A6" />
              <xs:enumeration value="F6" />
              <xs:enumeration value="G1" />
              <xs:enumeration value="IG" />
              <xs:enumeration value="N6" />
              <xs:enumeration value="NQ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="REF02__DependentEligibilityOrBenefitIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF03__PlanSponsorName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="REF04_C040U50">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="DTP_DependentEligibilityBenefitDate_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="DTP_DependentEligibilityBenefitDate_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Eligibility/Benefit Date" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="DTP01__DateTimeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="374" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="193" />
              <xs:enumeration value="194" />
              <xs:enumeration value="198" />
              <xs:enumeration value="290" />
              <xs:enumeration value="292" />
              <xs:enumeration value="295" />
              <xs:enumeration value="304" />
              <xs:enumeration value="307" />
              <xs:enumeration value="318" />
              <xs:enumeration value="348" />
              <xs:enumeration value="349" />
              <xs:enumeration value="356" />
              <xs:enumeration value="357" />
              <xs:enumeration value="435" />
              <xs:enumeration value="472" />
              <xs:enumeration value="636" />
              <xs:enumeration value="771" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP02__DateTimePeriodFormatQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1250" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="D8" />
              <xs:enumeration value="RD8" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="DTP03__EligibilityOrBenefitDateTimePeriod">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="AAA_DependentRequestValidation_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="AAA_DependentRequestValidation_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Request Validation" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="AAA01__ValidRequestIndicator">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1073" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="N" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="AAA02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA03__RejectReasonCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="901" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="15" />
              <xs:enumeration value="52" />
              <xs:enumeration value="53" />
              <xs:enumeration value="54" />
              <xs:enumeration value="55" />
              <xs:enumeration value="56" />
              <xs:enumeration value="57" />
              <xs:enumeration value="60" />
              <xs:enumeration value="61" />
              <xs:enumeration value="62" />
              <xs:enumeration value="63" />
              <xs:enumeration value="69" />
              <xs:enumeration value="70" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="AAA04__FollowupActionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="889" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="C" />
              <xs:enumeration value="N" />
              <xs:enumeration value="R" />
              <xs:enumeration value="W" />
              <xs:enumeration value="X" />
              <xs:enumeration value="Y" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="MSG_MessageText_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="MSG_MessageText_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Message Text">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="MSG03">
            <b:Subject name="MSG02" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="MSG01__FreeFormMessageText">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="264" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="MSG02">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="MSG03">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="9" edi_datatype="N0" justification="right" sequence_number="03">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_N0" />
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2115D_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="III_DependentEligibilityOrBenefitAdditionalInformation_TS271A1_2115D/III01__CodeListQualifierCode" trigger_value="BF BK ZZ" notes="Dependent Eligibility or Benefit Additional Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="III_DependentEligibilityOrBenefitAdditionalInformation_TS271A1_2115D" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="III_DependentEligibilityOrBenefitAdditionalInformation_TS271A1_2115D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="III_DependentEligibilityOrBenefitAdditionalInformation_TS271A1_2115D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Eligibility or Benefit Additional Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="III01__CodeListQualifierCode" />
            <b:Subject name="III02__IndustryCode" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_ListConditional" qualifier="III03">
            <b:Subject name="III04" />
            <b:Subject name="III05" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="III01__CodeListQualifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1270" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="BF" />
              <xs:enumeration value="BK" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="III02__IndustryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III03">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="03">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="264" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III05">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo custom_maxlength="15" edi_datatype="R" justification="right" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_R" />
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III06_C001U51">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III07">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="07">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III08">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="08">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="III09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="LS_DependentEligibilityOrBenefitInformation_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="LS_DependentEligibilityOrBenefitInformation_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Eligibility or Benefit Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="LS01__LoopIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="6" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="TS271A1_2120D_Loop">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo structure="delimited" delimiter_type="inherit_record" field_order="infix" count_ignore="yes" child_delimiter="default" trigger_field="NM1_DependentBenefitRelatedEntityName_TS271A1_2120D/NM101__EntityIdentifierCode" trigger_value="13 1P 2B 36 73 FA GP IL LR P3 P4 P5 PR SEP TTP VN X3 PRP" notes="Dependent Benefit Related Entity Name" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="1" maxOccurs="1" ref="NM1_DependentBenefitRelatedEntityName_TS271A1_2120D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N3_DependentBenefitRelatedEntityAddress_TS271A1_2120D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="N4_DependentBenefitRelatedEntityCityStateZIPCode_TS271A1_2120D" />
        <xs:element minOccurs="0" maxOccurs="3" ref="PER_DependentBenefitRelatedEntityContactInformation_TS271A1_2120D" />
        <xs:element minOccurs="0" maxOccurs="1" ref="PRV_DependentBenefitRelatedProviderInformation_TS271A1_2120D" />
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="NM1_DependentBenefitRelatedEntityName_TS271A1_2120D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="NM1_DependentBenefitRelatedEntityName_TS271A1_2120D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Benefit Related Entity Name">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="NM108__IdentificationCodeQualifier" />
            <b:Subject name="NM109__BenefitRelatedEntityIdentifier" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="NM111">
            <b:Subject name="NM110" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="NM101__EntityIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="98" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="13" />
              <xs:enumeration value="1P" />
              <xs:enumeration value="2B" />
              <xs:enumeration value="36" />
              <xs:enumeration value="73" />
              <xs:enumeration value="FA" />
              <xs:enumeration value="GP" />
              <xs:enumeration value="IL" />
              <xs:enumeration value="LR" />
              <xs:enumeration value="P3" />
              <xs:enumeration value="P4" />
              <xs:enumeration value="P5" />
              <xs:enumeration value="PR" />
              <xs:enumeration value="SEP" />
              <xs:enumeration value="TTP" />
              <xs:enumeration value="VN" />
              <xs:enumeration value="X3" />
              <xs:enumeration value="PRP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="NM102__EntityTypeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="1065" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="1" />
              <xs:enumeration value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM103__BenefitRelatedEntityLastOrOrganizationName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="35" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM104__BenefitRelatedEntityFirstName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM105__BenefitRelatedEntityMiddleName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="25" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM106">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM107__BenefitRelatedEntityNameSuffix">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="10" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM108__IdentificationCodeQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="66" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="24" />
              <xs:enumeration value="34" />
              <xs:enumeration value="46" />
              <xs:enumeration value="FA" />
              <xs:enumeration value="FI" />
              <xs:enumeration value="MI" />
              <xs:enumeration value="NI" />
              <xs:enumeration value="PI" />
              <xs:enumeration value="PP" />
              <xs:enumeration value="SV" />
              <xs:enumeration value="XV" />
              <xs:enumeration value="XX" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM109__BenefitRelatedEntityIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM110">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="10">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="NM111">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="11">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N3_DependentBenefitRelatedEntityAddress_TS271A1_2120D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N3_DependentBenefitRelatedEntityAddress_TS271A1_2120D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Benefit Related Entity Address" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="N301__BenefitRelatedEntityAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N302__BenefitRelatedEntityAddressLine">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="55" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="N4_DependentBenefitRelatedEntityCityStateZIPCode_TS271A1_2120D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="N4_DependentBenefitRelatedEntityCityStateZIPCode_TS271A1_2120D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Benefit Related Entity City/State/ZIP Code">
          <b:Rule subjects="X12ConditionDesignatorX_Conditional" qualifier="N406__DepartmentOfDefenseHealthServiceRegionCode">
            <b:Subject name="N405__LocationQualifier" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element minOccurs="0" name="N401__BenefitRelatedEntityCityName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="2" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N402__BenefitRelatedEntityStateCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N403__BenefitRelatedEntityPostalZoneOrZIPCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="15" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N404__CountryCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N405__LocationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="309" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="RJ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="N406__DepartmentOfDefenseHealthServiceRegionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PER_DependentBenefitRelatedEntityContactInformation_TS271A1_2120D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PER_DependentBenefitRelatedEntityContactInformation_TS271A1_2120D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Benefit Related Entity Contact Information">
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER03__CommunicationNumberQualifier" />
            <b:Subject name="PER04__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER05__CommunicationNumberQualifier" />
            <b:Subject name="PER06__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
          <b:Rule subjects="X12ConditionDesignatorX_Paired">
            <b:Subject name="PER07__CommunicationNumberQualifier" />
            <b:Subject name="PER08__BenefitRelatedEntityCommunicationNumber" />
          </b:Rule>
        </b:recordInfo>
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PER01__ContactFunctionCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="366" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="IC" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER02__BenefitRelatedEntityContactName">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="60" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER03__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER04__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="04">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER05__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="05">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER06__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="06">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER07__CommunicationNumberQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" codelist="365" sequence_number="07">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="ED" />
              <xs:enumeration value="EM" />
              <xs:enumeration value="EX" />
              <xs:enumeration value="FX" />
              <xs:enumeration value="TE" />
              <xs:enumeration value="WP" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER08__BenefitRelatedEntityCommunicationNumber">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="08">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="80" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PER09">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="09">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="20" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="PRV_DependentBenefitRelatedProviderInformation_TS271A1_2120D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="PRV_DependentBenefitRelatedProviderInformation_TS271A1_2120D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Dependent Benefit Related Provider Information" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="PRV01__ProviderCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="1221" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="AD" />
              <xs:enumeration value="AT" />
              <xs:enumeration value="BI" />
              <xs:enumeration value="CO" />
              <xs:enumeration value="CV" />
              <xs:enumeration value="H" />
              <xs:enumeration value="LA" />
              <xs:enumeration value="OT" />
              <xs:enumeration value="P1" />
              <xs:enumeration value="P2" />
              <xs:enumeration value="PC" />
              <xs:enumeration value="PE" />
              <xs:enumeration value="R" />
              <xs:enumeration value="SB" />
              <xs:enumeration value="SK" />
              <xs:enumeration value="SU" />
              <xs:enumeration value="HH" />
              <xs:enumeration value="RF" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="PRV02__ReferenceIdentificationQualifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" justification="left" codelist="128" sequence_number="02">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:enumeration value="9K" />
              <xs:enumeration value="D3" />
              <xs:enumeration value="EI" />
              <xs:enumeration value="HPI" />
              <xs:enumeration value="SY" />
              <xs:enumeration value="TJ" />
              <xs:enumeration value="ZZ" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element name="PRV03__ProviderIdentifier">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="03">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="30" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV04">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="04">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="2" />
              <xs:maxLength value="2" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV05_C035U52">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" sequence_number="05">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="1" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
        <xs:element minOccurs="0" name="PRV06">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="ID" sequence_number="06">
              </b:fieldInfo>
              <wpc:Info NotUsed="true" />
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_ID">
              <xs:minLength value="3" />
              <xs:maxLength value="3" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:element name="LE_Trailer_TS271A1_2110D">
    <xs:annotation>
      <xs:appinfo>
        <b:recordInfo tag_name="LE_Trailer_TS271A1_2110D" structure="delimited" delimiter_type="inherit_field" field_order="prefix" count_ignore="no" child_delimiter="default" notes="Loop Trailer" />
      </xs:appinfo>
    </xs:annotation>
    <xs:complexType>
      <xs:sequence>
        <xs:element name="LE01__LoopIdentifierCode">
          <xs:annotation>
            <xs:appinfo>
              <b:fieldInfo edi_datatype="AN" justification="left" sequence_number="01">
              </b:fieldInfo>
            </xs:appinfo>
          </xs:annotation>
          <xs:simpleType>
            <xs:restriction base="X12_AN">
              <xs:minLength value="1" />
              <xs:maxLength value="6" />
            </xs:restriction>
          </xs:simpleType>
        </xs:element>
      </xs:sequence>
    </xs:complexType>
  </xs:element>
  <xs:simpleType name="X12_N">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_R">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_AN">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_ID">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_DT">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_TM">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N0">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N1">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N2">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N3">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N4">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N5">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N6">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N7">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N8">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
  <xs:simpleType name="X12_N9">
    <xs:restriction base="xs:string" />
  </xs:simpleType>
</xs:schema>